This supplementary assessment has been designed by the UC team to determine as efficiently as possible whether the student has met the desired learning outcomes for the assessment task they have failed. The Learning Outcomes assessed in this written assessment are: 1 Apply the principles of perioperative nursing to the role of the nurse in the perioperative period 2 Discuss non-pharmacological comfort measures that may be used during the perioperative period 4 Discuss the pathophysiology of gastrointestinal conditions across the lifespan 8 Use information literacy skills to access and evaluate relevant evidence-based literature on the provision of effective nursing management of people across the lifespan in the perioperative period Marked supplementary assessments will be graded as satisfactory and awarded Pass-50 or unsatisfactory and awarded Fail only. The final grade awarded for the unit will be ‘Pass’ with a mark of 50 or, if the marks are lower than the original attempt, the original mark will stand. Weight: Satisfactory/Unsatisfactory Type of Collaboration: Individual Due date: Monday 2nd August 2021 at 10:00 AM Submission: Via Turnitin: Please refer to Section 2.5 (pg 14) of the Learning Guide-General Submission Requirements Format: Professional Task: A Case History with Guided Questions. Length: 600 words Curriculum Mode: Written task Case study Case study Mr Peter Wood aged 55, presented to the emergency department complaining of right lower quadrant abdominal pain for the past six (6) days. He described the associated symptoms as feeling generally unwell associated with nausea and vomiting. Peter reported experiencing several episodes of diarrhoea but denied any urinary symptoms. He was concerned about a significant loss of weight of 10kg and felt very fatigued over the past four (4) months. Peter largely ignored these symptoms as he thought his lifestyle was not healthy – often eating takeaway food (in his previous busy job as a Tradie). He had delayed coming to hospital because of restrictions in people’s movements due to Covid-19 lockdown in his hometown. Past medical history: Peter has no significant medical or surgical history; and is not taking any medications. He has no known allergies. When undertaking physical assessment, the Medical Officer (MO) was concerned that Peter had tenderness in the lower right abdominal quadrant on palpation. Peter required admission to the hospital, and the following investigations were done. abdominal CT scan colonoscopy endoscopy (upper) Peter was diagnosed with diverticulitis. As a student nurse working in the ward where Peter was admitted, you have taken handover and then proceed to check on him. On your initial assessment, Peter is complaining of abdominal pain 8/10. Peter’s recent vital observation are: BP 160/87mmHg Heart rate 110 beats per minute Respiratory rate 25 breaths per minute T 37.4° C SpO? 98% on room air Blood Glucose Level (BGL) 4.8mmol/L The Medical Officer orders the following medications and intravenous (IVI) fluids. Morphine 5mg IV 4 hourly PRN Metoclopramide (Maxolon) 10mg PO TDS Flagyl (Metronidazole) 400mg PO TDS Normal saline 0.9% 1000mL IVI 8 hourly Guided Questions: Question 1. Explain the pathogenesis of diverticulitis, which led to Peter being admitted to hospital (suggested word limit 350 words). Question 2. Explain the non-pharmacological pain management for a patient diagnosed with diverticulitis (suggested word limit 250 words).
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